A contribution to the French validation of the clinical anxiety scale amongst health care workers in Switzerland

Abstract Background Anxiety disorders are frequent but remain often underdiagnosed and undertreated. Hence, valid screening instruments are needed to enhance the diagnostic process. The Clinical Anxiety Scale (CAS) is a 25-item anxiety screening tool derived from the Hamilton Anxiety Scale (HAM-A)....

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Main Authors: Yana Apostolova, Elisabeth Stamm, Francesco Cilla, Anne-Véronique Durst, Christophe Büla, Patrizia D’Amelio
Format: Article
Language:English
Published: BMC 2024-01-01
Series:BMC Psychology
Subjects:
Online Access:https://doi.org/10.1186/s40359-024-01525-y
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author Yana Apostolova
Elisabeth Stamm
Francesco Cilla
Anne-Véronique Durst
Christophe Büla
Patrizia D’Amelio
author_facet Yana Apostolova
Elisabeth Stamm
Francesco Cilla
Anne-Véronique Durst
Christophe Büla
Patrizia D’Amelio
author_sort Yana Apostolova
collection DOAJ
description Abstract Background Anxiety disorders are frequent but remain often underdiagnosed and undertreated. Hence, valid screening instruments are needed to enhance the diagnostic process. The Clinical Anxiety Scale (CAS) is a 25-item anxiety screening tool derived from the Hamilton Anxiety Scale (HAM-A). However, this scale is not available in French. The General anxiety disorder − 7 (GAD-7) scale, which has been validated in French, is a 7-item instrument with good psychometric properties. This study contributes to the validation of an adapted French version of the CAS, using the GAD-7 as the reference. Methods A forward-backward English-French-English translation of the CAS was performed according to standard practice. The French versions of the CAS and GAD-7 were completed by 127 French speaking healthcare professionals. CAS internal consistency was assessed using Crohnbach’s alpha, and test-retest reliability was tested after 15 days in a subsample of 30 subjects. Convergent validity with GAD-7 was assessed using Pearson’s correlation coefficient. Test-retest reliability was explored using one-way random effects model to calculate the intra-class correlation coefficient (ICC). Results French CAS showed excellent internal consistency (Cronbach’s alpha 0.97), high convergent validity with GAD-7 (Pearson’s R 0.81, p < 0.001), and very good test-retest reliability (ICC = 0.97, 95% CI 0.93–0.98). Conclusion The proposed French version of the CAS showed high reliability and validity that need to be further investigated in different populations.
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spelling doaj.art-6a465d4f761b4e3883463ad2660780e02024-01-21T12:40:06ZengBMCBMC Psychology2050-72832024-01-011211710.1186/s40359-024-01525-yA contribution to the French validation of the clinical anxiety scale amongst health care workers in SwitzerlandYana Apostolova0Elisabeth Stamm1Francesco Cilla2Anne-Véronique Durst3Christophe Büla4Patrizia D’Amelio5Service of Geriatric Medicine and Geriatric Rehabilitation, Lausanne University Hospital and University of LausanneService of Geriatric Medicine and Geriatric Rehabilitation, Lausanne University Hospital and University of LausanneService of Geriatric Medicine, HFR Freiburg KantonsspitalService of Geriatric Medicine and Geriatric Rehabilitation, Lausanne University Hospital and University of LausanneService of Geriatric Medicine and Geriatric Rehabilitation, Lausanne University Hospital and University of LausanneService of Geriatric Medicine and Geriatric Rehabilitation, Lausanne University Hospital and University of LausanneAbstract Background Anxiety disorders are frequent but remain often underdiagnosed and undertreated. Hence, valid screening instruments are needed to enhance the diagnostic process. The Clinical Anxiety Scale (CAS) is a 25-item anxiety screening tool derived from the Hamilton Anxiety Scale (HAM-A). However, this scale is not available in French. The General anxiety disorder − 7 (GAD-7) scale, which has been validated in French, is a 7-item instrument with good psychometric properties. This study contributes to the validation of an adapted French version of the CAS, using the GAD-7 as the reference. Methods A forward-backward English-French-English translation of the CAS was performed according to standard practice. The French versions of the CAS and GAD-7 were completed by 127 French speaking healthcare professionals. CAS internal consistency was assessed using Crohnbach’s alpha, and test-retest reliability was tested after 15 days in a subsample of 30 subjects. Convergent validity with GAD-7 was assessed using Pearson’s correlation coefficient. Test-retest reliability was explored using one-way random effects model to calculate the intra-class correlation coefficient (ICC). Results French CAS showed excellent internal consistency (Cronbach’s alpha 0.97), high convergent validity with GAD-7 (Pearson’s R 0.81, p < 0.001), and very good test-retest reliability (ICC = 0.97, 95% CI 0.93–0.98). Conclusion The proposed French version of the CAS showed high reliability and validity that need to be further investigated in different populations.https://doi.org/10.1186/s40359-024-01525-yClinical anxiety scaleCASFrenchPsychometric properties
spellingShingle Yana Apostolova
Elisabeth Stamm
Francesco Cilla
Anne-Véronique Durst
Christophe Büla
Patrizia D’Amelio
A contribution to the French validation of the clinical anxiety scale amongst health care workers in Switzerland
BMC Psychology
Clinical anxiety scale
CAS
French
Psychometric properties
title A contribution to the French validation of the clinical anxiety scale amongst health care workers in Switzerland
title_full A contribution to the French validation of the clinical anxiety scale amongst health care workers in Switzerland
title_fullStr A contribution to the French validation of the clinical anxiety scale amongst health care workers in Switzerland
title_full_unstemmed A contribution to the French validation of the clinical anxiety scale amongst health care workers in Switzerland
title_short A contribution to the French validation of the clinical anxiety scale amongst health care workers in Switzerland
title_sort contribution to the french validation of the clinical anxiety scale amongst health care workers in switzerland
topic Clinical anxiety scale
CAS
French
Psychometric properties
url https://doi.org/10.1186/s40359-024-01525-y
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